Laserfiche WebLink
-OUNTY NAME <br /> NAME: _ j� INSPECTION DATE: 11 J <br /> IE ADDRESS: r / CfTY/STATE/Z1P / <br /> . W4GES SITE/OWNER/PERMIT? YES NO ' TANK TANK TANK TANK <br /> MFR/PERMR SUBMITTED IDG 0/ 00 p 7 ID♦ U S p• <br /> TYPE OF INSPECTION SITE COMARE" PER 0 PER • PER I PER <br /> ,-�J EXP.DATE EXP.DATE EXP.DATE ENP.DATE <br /> OPERATIONAL TANK MAJ MIN. <br /> PERMIT TO OPERATE 1 2 <br /> CHANGE IN OOND1TIONS TO OPERATE 3 4 <br /> APPROVED CONSTRUCTION 6 8 <br /> WRITTEN MONITORING PROCEOURES 7 8 <br /> APPROVED MONITORING SYSTEM B 10 <br /> MONITORING SYSTEM 11 12 <br /> APPROVED MONITOR FREQUENCY 13 141 1 <br /> 1. M DRING RECORDS MAINTAINED 15 16 <br /> ACCESS CASING SECURED 17 18 <br /> PIPING 1g 20 <br /> INVENTORY RECONCILIATION 21' _ 22 <br /> TANK GAUGING 23 24 <br /> APPROVED RESPONSE PLAN 25 28 <br /> UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br /> SAMPLING 2 '' 30 <br /> APPROVED TANK REPAIRS 31 32 <br /> UNAUTHORIZED RELEASES REPORTED 33 34 <br /> SAFETY HAZARD 35� 36 <br /> CONO(TIONS ABATED 371 gffl <br /> TEMPORARY TANK CLOSURE <br /> REMOVAL OF RESIDUA 38 3g <br /> FLAMMABLE VAPORS REMOVED 40 <br /> ACCESS LOCATIONS SEALED 411 1421 <br /> POWER DISCONNECTED M43 <br /> OWNER/OPERATOR MONITORING 44, 45 <br /> PERMANENT TANK CLOSURE <br /> REMOVAL OF RESIDUAL MATERIALS 46 47 <br /> PIPING 48- 4g <br /> FLAMMABLE VAPORS REMOVED 50 <br /> UNAUTHORIZED RELEASE 511 52 <br /> SAMPLNJG 531 54 <br /> IMPROPER ABANDONMENT 551 58 <br /> THE MARKEDITEMS�REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br /> SYSTEM STATUS(MUST MARK ONE1 FOLLOWS. Ll <br /> � <br /> � �La <br /> P96KMN LOCAL HEALTH DISTRH NSPP,� , RETD BY: <br /> POST OFFICE BOX 2009 / <br /> STOCKTON. CALIF. 95201 c� <br /> Aj7N: ENVIRON. HEALTH T1TLE:��,� _ y `EC <br /> - vlim o• <br />